Validation of a new test that assesses functional performance of the upper extremity and neck (FIT-HaNSA) in patients with shoulder pathology

MacDermid, Joy C.; Ghobrial, Myriam; Quirion, Karine Badra; St-Amour, Mélanie; Tsui, Tanya; Humphreys, Dave; McCluskie, J. A.; Shewayhat, Eddy; Galea, Victoria

doi:10.1186/1471-2474-8-42

Cited by 69 publications

(77 citation statements)

References 52 publications

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“…Our study supports the findings of the previous study that examined the validity of the FIT-HaNSA, 17 with similar findings in a larger sample of patients with shoulder pathologies and healthy controls.…”

Section: Discussionsupporting

confidence: 92%

“…The Functional Impairment Test-Hand and Neck/Shoulder/ Arm (FIT-HaNSA) was recently developed to assess performance during tasks that represent different aspects of upper extremity gross motor functions (reaching/placing objects at different heights, sustained overhead work). 17 Each task is repeated at a designated pace for up to 5 minutes (300 seconds). Preliminary research of the FIT-HaNSA, which included patients with mild shoulder impingement compared to control participants, has demonstrated excellent test-retest reliability (ICC = 0.98) and discriminative validity.…”

Section: T T Resultsmentioning

confidence: 99%

“…Preliminary research of the FIT-HaNSA, which included patients with mild shoulder impingement compared to control participants, has demonstrated excellent test-retest reliability (ICC = 0.98) and discriminative validity. 17 However, the developmental study reported on a small sample of subjects, and thus the precision of these estimates is questionable.…”

Section: T T Resultsmentioning

confidence: 99%

“…FIT-HaNSA The FIT-HaNSA was conducted as described, 17 using JobSim (JTECH Medical, Salt Lake City, UT) for staging the tasks. The FIT-HaNSA is a test battery of 3 tasks that simulate activities of lifting and sustained overhead work.…”

Section: Outcome Measuresmentioning

confidence: 99%

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The FIT-HaNSA Demonstrates Reliability and Convergent Validity of Functional Performance in Patients With Shoulder Disorders

Kumta¹,

MacDermid²,

Mehta³

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

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Estimated Means of the FIT-HaNSA on Occasion 1 FIGURE 4. Summary scores of the FIT-HaNSA for the 3 groups. The box-plot summaries of FIT-HaNSA scores across the 3 subgroups recruited in this study (patients with mild to moderate shoulder condition, patients waiting for shoulder surgery, and the control group) are illustrated in this figure. The dark line in each box represents the median, the upper and lower margins of the box depict the first and third quartiles, and the whisker length represents 1.5 times the IQR, provided a data point is located at that value; otherwise, the whisker is drawn to the closest data point within 1.5 IQR. The dots show outliers. The mean scores (273 seconds, 221 seconds, and 90 seconds) were significantly different among groups (P<

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Section: Discussionsupporting

confidence: 92%

Section: T T Resultsmentioning

confidence: 99%

Section: T T Resultsmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

See 2 more Smart Citations

The FIT-HaNSA Demonstrates Reliability and Convergent Validity of Functional Performance in Patients With Shoulder Disorders

Kumta¹,

MacDermid²,

Mehta³

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

View full text Add to dashboard Cite

show abstract

“…We developed a functional performance test that is similar to kinematic studies but does not require instrumentation and thus can be applied in a more clinically feasible manner as a timed test. 79 The Fit-HaNSA test is a 3-component gross motor test involving the entire upper extremity and neck, consisting of performing tasks of waistlevel reaching, reaching into elevation, and sustained overhead work. Methods for performing the test are described in detail in the developmental article and accompanying manual published in open access.…”

mentioning

confidence: 99%

Developing Biologically-Based Assessment Tools for Physical Therapy Management of Neck Pain

MacDermid

Gross²,

Galea³

et al. 2009

J Orthop Sports Phys Ther

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Normal shoulder muscular activation and co‐ordination during a shoulder elevation task based on activities of daily living: An electromyographic study

Hawkes

Alizadehkhaiyat

Fisher

et al. 2011

Journal Orthopaedic Research

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Studies of normal shoulder function have often failed to consider the inter-relationship between different muscle groups in activities relevant to daily life. Upper limb functional status was assessed in 12 healthy male volunteers using the Functional Impairment Test-Hand, Neck, Shoulder and Arm test (FIT-HaNSA). Electromyography was then used to study the activity and coordination of 13 muscles (10 by surface electrodes, 3 by fine-wire intramuscular electrodes) around the shoulder during a dynamic movement task based on the shelf-lifting task in FIT-HaNSA. Muscles were grouped for analysis into deltoid (anterior, middle, and posterior divisions), adductors (latissimus dorsi and teres major), rotator cuff (supraspinatus, infraspinatus, and subscapularis), and elbow flexor (brachioradialis, biceps brachii) groups. There were no significant inter-session effects. Using cross-correlation analysis to investigate the whole time-course of activation, there were highly significant positive correlations (p < 0.001) between the deltoid and rotator cuff, the deltoid and adductor and the adductor and rotator cuff groups, and a significant negative correlation between the deltoid and elbow flexor groups (p ¼ 0.031). We conclude that the deltoid, adductor, and rotator cuff muscles all contribute to the muscular component of glenohumeral joint stability. Muscular stability can be adapted as required to meet task-specific demands. ß

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Validation of a new test that assesses functional performance of the upper extremity and neck (FIT-HaNSA) in patients with shoulder pathology

Cited by 69 publications

References 52 publications

The FIT-HaNSA Demonstrates Reliability and Convergent Validity of Functional Performance in Patients With Shoulder Disorders

The FIT-HaNSA Demonstrates Reliability and Convergent Validity of Functional Performance in Patients With Shoulder Disorders

Developing Biologically-Based Assessment Tools for Physical Therapy Management of Neck Pain

Normal shoulder muscular activation and co‐ordination during a shoulder elevation task based on activities of daily living: An electromyographic study

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